Brenda Dooley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009983 Issued in PA

Practice address

1331 E Wyoming Ave
Suite 4120
Philadelphia, PA 19124-3808

Phone

(215) 831-1170

Fax

(215) 744-7394

NPI assigned

Jul 17, 2006

Last updated

Jan 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Therapy Services of Pennsylvania LLC

  dba Dynamic Physical Therapy

  • Physical Therapist
  • Aston, PA
  • NPI 1346477981
  NPD (past)
• Infusion Center of Berks County PC

  • Infusion Therapy Clinic/Center
  • Wyomissing, PA
  • NPI 1811419088
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1124046578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 10TH ST",
            "city": "MARCUS HOOK",
            "state": "PA",
            "postal_code": "190614513",
            "telephone_number": "610-859-8850",
            "fax_number": "610-859-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E WYOMING AVE",
            "address_2": "SUITE 4120",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243808",
            "telephone_number": "215-831-1170",
            "fax_number": "215-744-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "BRENDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sruthi Dontu, MD
• Achala Donuru, M.D.
• Mayour Donzo
• Abigail Rose Doohan, DO
• Dookie Boyz LLC (Kims Pharmacy)
• Charlene Joy Dooley
• Diana L. Dooley, SW
• Felicia Dooley
• Martha M. Dooley, MSN RN CNS
• Nancy M Dooley

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.